09/16/2015 Agreement , AVA-bnl*V44.41‘A
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i�, ; CLERK OF CIRCUIT COURT & COMPTROLLER
�� MONROE COUNTY,FLORIDA
y ,LORI+AQ, '1/4
DATE: October 23, 2015
TO: Kevin Wilson
Director of Public Works and Engineering
/
ATTN: Giselle Lopez/Bob Stone
FROM: Cheryl Robertson Executive Aide to the Clerk of Court& Comptroller foJi& v7ij ari
At the September 16, 2015 Board of County Commissioner's meeting the Board granted approval and
execution of Items:
C40 A License Agreement with the Key Largo Merchants Association, Inc. to hold the Key Largo
Stone Crab & Seafood Festival at Rowell's Marina on January 30 to January 31, 2016. The
1 county will receive five (5)percent of the cumulative gross revenues for the event.
'VC41 Contract with IAdvan ec d-Water—Technology, Corp? for "Chemical Water Treatment and Testing
Services". 1--
--1
Enclosed is a duplicate original of the above mentioned executed on behalf of Monroe County for your
handling. Should you have any questions,please feel free to contact me.
cc: County Attorney
Finance
File
41 4
500 Whitehead Street Suite 101,PO Box 1980,Key West,FL 33040 Phone:305-295-3130 Fax:305-295-3663
3117 Overseas Highway,Marathon,FL 33050 Phone:305-289-6027 Fax:305-289-6025
88820 Overseas Highway,Plantation Key,FL 33070 Phone:852-7145 Fax:305-852-7146
Chemical Water Treatment and Testing Services
AGREEMENT
CHEMICAL WATER TREATMENT AND TESTING SERVICES
MONROE COUNTY, FLORIDA
This (5) five year Agreement is made and entered into this 16 day of September, 2015,
between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision of the State of
Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and Advance Water
Technology, Corp. ( "CONTRACTOR "), a Florida corporation, whose address is 7880 NW 176
Street, Hialeah, FL 33015.
WHEREAS, COUNTY desires to have inspection, testing, maintenance and treatment
services for cooling tower and chilled water systems located in Monroe County; and
WHEREAS, CONTRACTOR desires and is able to provide inspection, testing,
maintenance and treatment services for cooling tower and chilled water systems located in
Monroe County; and
WHEREAS, it serves a legitimate public purpose for CONTRACTOR to provide
inspection, testing, maintenance and treatment services for cooling tower and chilled water
systems located in Monroe County, now therefore,
IN CONSIDERATION of the mutual promises and covenants contained herein, it is
agreed as follows:
1. THE AGREEMENT
The Agreement consists of this document, the proposal documents, exhibits, and any
addenda only.
2. SCOPE OF THE WORK:
A. Provide extensive monthly water chemical treatment services that include but are
not limited to all testing, chemicals, reagents, analysis reports, equipment
operation checks, feed station checks and chemical refills whereby County
personnel do not have to handle any chemicals.
1. Own, inspect, maintain and provide all chemical feed equipment at no cost
to the Owner. Maintain chemical feed stations in a professional, clean,
safe and compliant manner. Update chemical feed equipment as
technology advances. Maintain on -site Log Books and MSD Sheets.
2. On a quarterly basis, collect and analyze samples of the treated water for
planktonic and sessile bacteria counts per the chart below along with
legionella counts. Provide to the Owner testing results with interpretation
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Chemical Water Treatment and Testing Services
of results and corrective action on a quarterly basis for all cooling tower
systems.
Target Values
Routine Treatment of Cooling Water Systems
Agar Pour
Parameter Dipslides Plate or [Microscopic
Petrifilm Exam
Planktonic <10,000 <10,000 No higher life
Counts (Bulk CFU /mL CFU /mL forms
Water)
Sessile <100,00Q <100,000 No higher life
Counts CFU /cm CFU /cm forms
(Surfaces)
Deposits NA NA No higher life
forms
Note: Results from dipslides, agar pour
plates, or Petrifilm are colony forming units
(CFU per milliliter or per square centimeter) of
total aerobic heterotrophic bacteria. Legionella
bacteria are not detected by these
conventional plate count media. Microscopic
examination for the presence of higher life
forms requires a trained microscopist
and specialized microscopy equipment.
3. Maintain low levels of algae and bacteria in all cooling tower systems with
alternating biocide treatments and biodispersants. Microbial populations
are to be properly controlled and kept numerically as low as possible.
Review chemical control of the treatment, adjust the feed, and control
equipment based on analytical results. Bacteria target values are noted in
the chart above. Biocide types and levels shall be indicated on your
monthly report.
4. Maximize energy efficiency by ensuring the cleanliness of all heat transfer
surfaces through additives that control corrosion, deposits and fouling.
Maintain adequate Scale Inhibitor levels of all cooling tower and closed
loop systems. Inhibitor types and levels shall be indicated on your
monthly report. Provide up to ten gallons of closed loop water treatment
per system per year.
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Chemical Water Treatment and Testing Services
5. Maintain 4 to 6 chloride water cycles of concentration for cooling tower
systems.
6. Inspect each system and associated equipment and report conditions on a
routine monthly basis. Provide additional routine site - visits if necessary to
maintain systems within established parameters. Provide up to four
additional non - routine /emergency site visits per year. Educate and advise
plant personnel on proper maintenance of the systems.
7. Contractor is to provide a monthly service report for each system.
Minimum constituent readings with acceptable ranges included within the
report shall be C1, total hardness, ph, p. alkalinity, m. alkalinity,
Organophosphate, Conductivity, Total Dissolved Solids, Temperature,
Chloride Cycles, Total Aerobic Bacteria, Water Clarity, and Nitrite.
Condition of systems, chemicals used, chemical concentrations, excessive
system water loss, any observed abnormal operating conditions and
contact with on -site personnel shall also be noted.
8. 24 -Hour Emergency Service - 7 days a week: Technicians to respond
twenty -four hours a day, seven days a week to ensure proper and reliable
operation of systems as designated for the facilities listed in Paragraph 5.D
below. In the event of an operational failure, emergency response time
shall be no greater than eight (8) hours from County notification to be on
site.
9. The contractor shall warrant that the chemicals used in the water treatment
program shall not endanger the health or safety of persons being exposed
to them and shall not damage personal or real property when used in
accordance with the vendor's instruction for use and disposal of
chemicals.
10. All chemicals used must meet all required EPA regulation (local, state and
federal) and used in the proper dilution rates. The contractor shall provide
double containment in compliance with local and state regulation for the
chemicals supplied.
11. Load, haul and properly dispose of all generated debris.
The Scope of Work shall at a minimum, includes all work shown and detailed above.
The Contractor is required to provide complete services as described in the scope of
work. The Contractor shall furnish all labor, supervision, transportation, materials,
power, tools, equipment, supplies, engineering and any other means necessary or proper
for performing best practices and completing the Scope of Work, unless otherwise
specifically stated.
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Chemical Water Treatment and Testing Services
The Contractor shall be responsible for complying with regulations, approvals, and
permitting by: Monroe County, Monroe County Growth Management, Monroe County
Building Dept., Fire Marshall, Municipalities, and any other permitting or regulatory
agencies as applicable.
3. QUALITY ASSURANCE PROGRAM
The Contractor shall meet the Owner on a semi - annual basis to evaluate system
performance and Owner's satisfaction with the quality of service that is being
provided. Contractor is to schedule a meeting with the Owner at the beginning of
the contract year and an update meeting six months into the contract year with the
following being part of the agenda. Contractor shall compile and submit to the
Owner for review, all proposed maintenance, testing and treatment protocols as
recommended by the Contractor and supported by peer group best practices along
with all chemical data sheets. The Contractor shall provide a single point of
contact with 24/7 accessibility.
4. ADDITIONAL SERVICES
A. Additional services may include any County facility and may include but not be
limited to testing and treatment of potable and non - potable water systems along with
cooling tower maintenance and cleaning. For normal working hours between 8:00
a.m. and 5:00 p.m. Monday through Friday, excluding holidays, shall be $30.00 per
hour for technician and shall be $40.00 per hour for technician and helper.
B. Emergency service calls (above four per year) after hours stated above, including
holidays, shall be $40.00 per hour for technician and shall be $50.00 per hour for
technician and helper.
C. The cost of parts (excluding freight and sales tax) shall be the manufacturers cost plus
25 %. Freight, engineering, permits, equipment and sales tax will be reimbursed at
the amount charged only. The manufacturer's invoice must accompany all requests
for payment for any part, which exceeds $500.00, and may be requested at the
discretion of the Contract Administrator, or their designee, for any part, regardless of
the cost. Freight invoices over $500.00 must accompany all orders that require
shipping or transportation of parts whether the part is under warranty or not, and may
be requested at the discretion of the Contract Administrator, or their designee, for any
freight charge, regardless of the cost associated therewith.
5. PAYMENTS TO CONTRACTOR
A. COUNTY'S performance and obligation to pay under this agreement, is contingent
upon annual appropriation by the Board of County Commissioners.
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Chemical Water Treatment and Testing Services
B. COUNTY shall pay in accordance with the Florida Local Government Prompt
Payment Act. Invoices for scheduled services will be paid on a monthly schedule in
arrears. Payment will be made after completion of scheduled services and upon
submission of a proper invoice and required documentation by CONTRACTOR.
Payment for additional services will be made after acceptable completion and upon
submission of a proper invoice by CONTRACTOR.
C. CONTRACTOR shall submit to COUNTY invoices with supporting documentation
acceptable to the Clerk, at completion of the work by the CONTRACTOR and
approval by an appropriate COUNTY representative. Acceptability to the Clerk is
based on generally accepted accounting principles and such laws, rules and
regulations as may govern the Clerk's disbursal of funds. The County designates the
Clerk of Courts as its agent under the Local Government Prompt Payment Act,
Florida Statues Section 218.735
D. The following buildings require monthly water treatment services:
Murray E Nelson Government Center
102050 Overseas Highway, Key Largo, FL $ 175.00 per Month
Monroe County Medical Examiner — Crawl Key
56639 Overseas Highway, Marathon, FL $ 40.00 per Month
Harvey Government Center
1200 Truman Avenue, Key West, FL $ 40.00 per Month
Juvenile Justice Building
5505 College Road, Key West, FL $ 40.00 per Month
Monroe County Sheriff's Office Administration Building
5525 College Road, Key West, FL $ 175.00 per Month
Monroe County Detention Center on Stock Island
5501 College Road, Key West, FL $ 550.00 per Month
Jackson Square Complex
500 Whitehead St., Key West $ 275.00 per Month
Key West Library
700 Fleming Street, Key West, FL $ 33.00 per Month
Gato Building
1100 Simonton Street, Key West, FL $ 33.00 per Month
Total per Month $ 1,361.00
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Chemical Water Treatment and Testing Services
The total monthly service amount of contract shall be One Thousand Three Hundred
Sixty -One Dollars ($1,361.00) for an annual amount of Sixteen Thousand Three Hundred
Thirty-Two Dollars ($16,332.00). Total Compensation to CONTRACTOR for additional
services and repairs under this Agreement shall not exceed $25,000.00 per year unless
pre- approved emergency work requiring additional funds is implemented.
Contractor shall submit all invoices with the Application for Payment.
There shall be no additional charges to the Owner for travel, mileage, meals, or lodging.
6. TERM OF AGREEMENT
This (5) five year Agreement shall commence on October 1, 2015, and ends upon
September 10, 2020, unless terminated earlier under paragraph 20 of this Agreement.
The COUNTY shall have the option to renew this Agreement for up to an additional five
(5) one -year periods at terms and conditions mutually agreeable to the parties, exercisable
upon written notice given at least 30 days prior to the end of the initial term. Unless the
context clearly indicates otherwise, references to the "term" of this Agreement shall mean
the initial term of five (5) years.
The Contract amount may be adjusted annually in accordance with the percentage change
in the U.S. Department of Commerce Consumer Price Index (CPI -U) for all Urban
Consumers as reported by the U.S. Bureau of Labor Statistics and shall be based upon the
CPI -U annualized computation at December 31 of the previous year.
7. ACCEPTANCE OF CONDITIONS BY CONTRACTOR
CONTRACTOR has, and shall maintain throughout the term of this Agreement,
appropriate licenses. Proof of such licenses and approvals shall be submitted to the
COUNTY upon request.
8. FINANCIAL RECORDS OF CONTRACTOR
CONTRACTOR shall maintain all books, records, and documents directly pertinent to
performance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Each party to this Agreement or their authorized
representatives shall have reasonable and timely access to such records of each other
party to this Agreement for public records purposes during the term of the Agreement and
for four years following the termination of this Agreement. If an auditor employed by the
COUNTY or Clerk determines that monies paid to CONTRACTOR pursuant to this
Agreement were spent for purposes not authorized by this Agreement, the
CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec.
55.03, FS, running from the date the monies were paid to CONTRACTOR.
9. PUBLIC ACCESS
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Chemical Water Treatment and Testing Services
Pursuant to Florida Statute §119.0701, Contractor and its subcontractors shall comply
with all public records laws of the State of Florida, including but not limited to:
A. Keep and maintain public records that ordinarily and necessarily would be
required by Monroe County in the performance of this Agreement.
B. Provide the public with access to public records on the same terms and
conditions that Monroe County would provide the records and at a cost that does
not exceed the cost provided in Florida Statutes, Chapter 119 or as otherwise
provided by law.
C. Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as authorized by
law.
D. Meet all requirements for retaining public records and transfer, at no cost, to
Monroe County all public records in possession of the contractor upon
termination of this Agreement and destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure requirements.
All records stored electronically must be provided to Monroe County in a format
that is compatible with the information technology systems of Monroe County.
10. HOLD HARMLESS, INSURANCE AND LIMITATION OF LIABILITY
Notwithstanding any minimum insurance requirements prescribed elsewhere in this
agreement, Contractor shall defend, indemnify and hold the COUNTY and the
COUNTY's elected and appointed officers and employees harmless from and against (i)
any third -party claims, actions or causes of action, (ii) any litigation, administrative
proceedings, appellate proceedings, or other proceedings relating to any type of injury
(including death), loss, damage, fine, penalty or business interruption, and (iii) any
reasonable costs or expenses that may be asserted against, initiated with respect to, or
sustained by, any indemnified party by reason of, or in connection with, (A) any activity
of CONTRACTOR or any of its employees, agents, sub - contractors or other invitees
during the term of this AGREEMENT, (B) the negligence or willful misconduct of
CONTRACTOR or any of its employees, agents, sub - contractors or other invitees, or (C)
CONTRACTOR's default in respect of any of the obligations that it undertakes under the
terms of this AGREEMENT, except to the extent the claims, actions, causes of action,
litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts
or omissions of the COUNTY or any of its employees, agents, contractors or invitees
(other than CONTRACTOR). Insofar as the claims, actions, causes of action, litigation,
proceedings, costs or expenses relate to events or circumstances that occur during the
term of this AGREEMENT, this section will survive the expiration of the term of this
AGREEMENT or any earlier termination of this AGREEMENT.
The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement. Failure of CONTRACTOR to
comply with the requirements of this section shall be cause for immediate termination of
this agreement.
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Chemical Water Treatment and Testing Services
Prior to execution of this agreement, CONTRACTOR shall furnish the COUNTY
Certificates of Insurance indicating the minimum coverage limitations in the following
amounts:
WORKERS COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE.
Where applicable, coverage to apply for all employees at a minimum statutory limits as
required by Florida Law, and Employer's Liability coverage in the amount of
$500,000.00 bodily injury by accident, $500,000.00 bodily injury by disease, policy
limits, and $500,000.00 bodily injury by disease, each employee.
COMMERCIAL AUTOMOBILE VEHICLE LIABILITY INSURANCE. Motor vehicle
liability insurance, including applicable no -fault coverage, with limits of liability of not less than
$300,000.00 per aggregate occurrence, combined single limit for Bodily Injury Liability and
Property Damage Liability. Coverage shall include all owned vehicles, all non -owned vehicles,
and all hired vehicles. If single limits are provided, the minimum acceptable limits are
$200, 000.00 per person, $300, 000.00 per occurrence, and $200,000.00 property damage.
Coverage shall include all owned vehicles, all non -owned vehicles, and all hired vehicles.
COMMERCIAL GENERAL LIABILITY. Commercial general liability coverage with limits of
liability of not less than $500,000.00 per aggregate occurrence combined single limit for Bodily
Injury Liability and Property Damage Liability. If single limits are provided, the minimum
acceptable limits are $300,000.00 per person, $500,000.00 per occurrence, and $200,000.00
property damage.
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MUST BE NAMED
ADDITIONAL INSURED ON ALL GENERAL LL4BILITY AND AUTOMOBILE
POLICIES.
CERTIFICATES OF INSURANCE: Original Certificates of Insurance shall be provided to the
COUNTY at the time of execution of this Agreement and certified copies provided if requested.
Each policy certificate shall be endorsed with a provision that not less than thirty (30) calendar
days' written notice shall be provided to the COUNTY before any policy or coverage is canceled
or restricted. The underwriter of such insurance shall be qualified to do business in the State of
Florida.
11. NON - WAIVER OF IMMUNITY
Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of
COUNTY and CONTRACTOR in this Agreement and the acquisition of any commercial
liability insurance coverage, self - insurance coverage, or local government liability
insurance pool coverage shall not be deemed a waiver of immunity to the extent of
liability coverage, nor shall any Agreement entered into by the COUNTY be required to
contain any provision for waiver.
12. INDEPENDENT CONTRACTOR
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At all times and for all purposes under this agreement CONTRACTOR is an independent
contractor and not an employee of the Board of County Commissioners of Monroe
County. No statement contained in this agreement shall be construed so as to find
CONTRACTOR or any of his employees, sub - contractors, servants, or agents to be
employees of the Board of County Commissioners of Monroe County.
13. NONDISCRIMINATION
CONTRACTOR agrees that there will be no discrimination against any person, and it is
expressly understood that upon a determination by a court of competent jurisdiction that
discrimination has occurred, this Agreement automatically terminates without any further
action on the part of any party, effective the date of the court order. CONTRACTOR
agrees to comply with all Federal and Florida statutes, and all local ordinances, as
applicable, relating to nondiscrimination. These include but are not limited to: 1) Title
VI of the Civil Rights Act of 1964 (PL 88 -352) which prohibits discrimination on the
basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972,
as amended (20 USC ss. 1681 -1683, and 1685- 1686), which prohibits discrimination on
the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s.
794), which prohibits discrimination on the basis of handicaps; 4) The Age
Discrimination Act of 1975, as amended (42 USC ss. 6101 -6107) which prohibits
discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972
(PL 92 -255), as amended, relating to nondiscrimination on the basis of drug abuse; 6)
The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91 -616), as amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523
and 527 (42 USC ss. 690dd -3 and 290ee -3), as amended, relating to confidentiality of
alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42
USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing
of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as
maybe amended from time to time, relating to nondiscrimination on the basis of
disability; 10) Any other nondiscrimination provisions in any Federal or state statutes
which may apply to COUNTY and CONTRACTOR to, or the subject matter of this
Agreement.
14. ASSIGNMENT /SUBCONTRACT
CONTRACTOR shall not assign or subcontract its obligations under this agreement to
others, except in writing and with the prior written approval of the Board of County
Commissioners of Monroe County and CONTRACTOR, which approval shall be subject
to such conditions and provisions as the Board may reasonably deem necessary. This
paragraph shall be incorporated by reference into any assignment or subcontract and any
assignee or sub shall comply with all of the provisions of this agreement. Unless
expressly provided for therein, such approval shall in no manner or event be deemed to
impose any additional obligation upon the board.
15. COMPLIANCE WITH LAW AND LICENSE REQUIREMENTS
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In providing all services /goods pursuant to this agreement, CONTRACTOR shall abide
by all laws of the Federal and State government, ordinances, rules and regulations
pertaining to, or regulating the provisions of, such services, including those now in effect
and hereinafter adopted. Compliance with all laws includes, but is not limited to, the
immigration laws of the Federal and State government. Any violation of said statutes,
ordinances, rules and regulations shall constitute a material breach of this agreement and
shall entitle the Board to terminate this Agreement. CONTRACTOR shall possess
proper licenses to perform work in accordance with these specifications throughout the
term of this Agreement.
16. DISCLOSURE AND CONFLICT OF INTEREST
CONTRACTOR represents that it, its directors, principles and employees, presently have
no interest and shall acquire no interest, either direct or indirect, which would conflict in
any manner with the performance of services required by this contract, as provided in
Section 112.311, et. seq., Florida Statutes. COUNTY agrees that officers and employees
of the COUNTY recognize and will be required to comply with the standards of conduct
for public officers and employees as delineated in Section 112.313, Florida Statutes,
regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's
agency; unauthorized compensation; misuse of public position, conflicting employment
or contractual relationship; and disclosure or use of certain information.
COUNTY and CONTRACTOR warrant that, in respect to itself, it has neither employed
nor retained any company or person, other than a bona fide employee working solely for
it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person,
company, corporation, individual, or firm, other than a bona fide employee working
solely for it, any fee, commission, percentage, gift, or other consideration contingent
upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the CONTRACTOR agrees that the COUNTY shall have the
right to terminate this Agreement without liability and, at its discretion, to offset from
monies owed, or otherwise recover, the full amount of such fee, commission, percentage,
gift, or consideration.
17. NO PLEDGE OF CREDIT
CONTRACTOR shall not pledge the COUNTY'S credit or make it a guarantor of
payment or surety for any contract, debt, obligation, judgment, lien, or any form of
indebtedness. CONTRACTOR further warrants and represents that it has no obligation
or indebtedness that would impair its ability to fulfill the terms of this contract.
18. NOTICE REQUIREMENT
Any notice required or permitted under this agreement shall be in writing and hand
delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt
requested, to the following:
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FOR COUNTY: FOR CONTRACTOR:
Monroe County Public Works Pete Robinson
Middle Keys Operations — Stock Island Jail 7880 NW 176 Street
5501 College Road Hialeah, Florida 33015
Key West, FL 33040
And
County Attorney
Post Office Box 1026
Key West, FL 33041 -1026
19. TAXES
COUNTY is exempt from payment of Florida State Sales and Use taxes.
CONTRACTOR shall not be exempted by virtue of the COUNTY'S exemption from
paying sales tax to its suppliers for materials used to fulfill its obligations under this
contract, nor is CONTRACTOR authorized to use the COUNTY'S Tax Exemption
Number in securing such materials. CONTRACTOR shall be responsible for any and all
taxes, or payments of withholding, related to services rendered under this agreement.
20. TERMINATION
A. The COUNTY may terminate this Agreement with or without cause prior to the
commencement of work.
B. The COUNTY may terminate this Agreement for cause with seven (7) days notice
to CONTRACTOR. Cause shall constitute a breach of the obligations to perform
the obligations enumerated under this Agreement.
C. Either of the parties hereto may cancel this agreement without cause by giving the
other party sixty (60) days written notice of its intention to do so.
21. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES
This Agreement shall be governed by and construed in accordance with the laws of the
State of Florida applicable to Agreements made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the COUNTY and CONTRACTOR
agree that venue will lie in the appropriate court or before the appropriate administrative
body in Monroe County, Florida.
22. MEDIATION
The COUNTY and CONTRACTOR agree that, in the event of conflicting interpretations
of the terms or a term of this Agreement by or between any of them the issue shall be
submitted to mediation prior to the institution of any other administrative or legal
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proceeding. Mediation proceedings initiated and conducted pursuant to this Agreement
shall be in accordance with the Florida Rules of Civil Procedure and usual and customary
procedures required by the circuit court of Monroe County.
23. SEVERABILITY
If any term, covenant, condition or provision of this Agreement (or the application
thereof to any circumstance or person) shall be declared invalid or unenforceable to any
extent by a court of competent jurisdiction, the remaining terms, covenants, conditions
and provisions of this Agreement, shall not be affected thereby; and each remaining term,
covenant, condition and provision of this Agreement shall be valid and shall be
enforceable to the fullest extent permitted by law unless the enforcement of the remaining
terms, covenants, conditions and provisions of this Agreement would prevent the
accomplishment of the original intent of this Agreement. The COUNTY and
CONTRACTOR agree to reform the Agreement to replace any stricken provision with a
valid provision that comes as close as possible to the intent of the stricken provision.
24. ATTORNEY'S FEES AND COSTS
COUNTY and CONTRACTOR agree that in the event any cause of action or
administrative proceeding is initiated or defended by any party relative to the
enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees in both trial and appellate proceedings. Each party agrees to
pay its own court costs, investigative, and out -of- pocket expenses whether it is the
prevailing party or not, through all levels of the court system.
25. ADJUDICATION OF DISPUTES OR DISAGREEMENTS
COUNTY and CONTRACTOR agree that all disputes and disagreements shall be
attempted to be resolved by meet and confer sessions between representatives of
COUNTY and CONTRACTOR. If no resolution can be agreed upon within 30 days
after the first meet and confer session, the issue or issues shall be discussed at a public
meeting of the Board of County Commissioners. If the issue or issues are still not
resolved to the satisfaction of COUNTY and CONTRACTOR, then any party shall have
the right to seek such relief or remedy as may be provided by this Agreement or by
Florida law.
26. COOPERATION
In the event any administrative or legal proceeding is instituted against either party
relating to the formation, execution, performance, or breach of this Agreement,
COUNTY and CONTRACTOR agree to participate, to the extent required by the other
party, in all proceedings, hearings, processes, meetings, and other activities related to the
substance of this Agreement or provision of the services under this Agreement.
COUNTY and CONTRACTOR specifically agree that no party to this Agreement shall
be required to enter into any arbitration proceedings related to this Agreement.
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27. BINDING EFFECT
The terms, covenants, conditions, and provisions of this Agreement shall bind and inure
to the benefit of COUNTY and CONTRACTOR and their respective legal
representatives, successors, and assigns.
28. AUTHORITY
Each party represents and warrants to the other that the execution, delivery and
performance of this Agreement have been duly authorized by all necessary COUNTY
and corporate action, as required by law.
29. CLAIMS FOR FEDERAL OR STATE AID
CONTRACTOR and COUNTY agree that each shall be, and is, empowered to apply for,
seek, and obtain federal and state funds to further the purpose of this Agreement;
provided that all applications, requests, grant proposals, and funding solicitations shall be
approved by each party prior to submission.
30. PRIVILEGES AND IMMUNITIES
All of the privileges and immunities from liability, exemptions from laws, ordinances,
and rules and pensions and relief, disability, workers' compensation, and other benefits
which apply to the activity of officers, agents, or employees of any public agents or
employees of the COUNTY, when performing their respective functions under this
Agreement within the territorial limits of the COUNTY shall apply to the same degree
and extent to the performance of such functions and duties of such officers, agents,
volunteers, or employees outside the territorial limits of the COUNTY.
31. LEGAL OBLIGATIONS AND RESPONSIBILITIES
This Agreement is not intended to, nor shall it be construed as, relieving any participating
entity from any obligation or responsibility imposed upon the entity by law except to the
extent of actual and timely performance thereof by any participating entity, in which case
the performance may be offered in satisfaction of the obligation or responsibility.
Further, this Agreement is not intended to, nor shall it be construed as, authorizing the
delegation of the constitutional or statutory duties of the COUNTY, except to the extent
permitted by the Florida constitution, state statute, and case law.
32. NON - RELIANCE BY NON - PARTIES
No person or entity shall be entitled to rely upon the terms, or any of them, of this
Agreement to enforce or attempt to enforce any third -party claim or entitlement to or
benefit of any service or program contemplated hereunder, and the COUNTY and the
CONTRACTOR agree that neither the COUNTY nor the CONTRACTOR or any agent,
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officer, or employee of either shall have the authority to inform, counsel, or otherwise
indicate that any particular individual or group of individuals, entity or entities, have
entitlements or benefits under this Agreement separate and apart, inferior to, or superior
to the community in general or for the purposes contemplated in this Agreement.
33. ATTESTATIONS
CONTRACTOR agrees to execute such documents as the COUNTY may reasonably
require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -Free
Workplace Statement.
34. NO PERSONAL LIABILITY
No covenant or agreement contained herein shall be deemed to be a covenant or
agreement of any member, officer, agent or employee of Monroe County in his or her
individual capacity, and no member, officer, agent or employee of Monroe County shall
be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
35. EXECUTION IN COUNTERPARTS
This Agreement may be executed in any number of counterparts, each of which shall be
regarded as an original, all of which taken together shall constitute one and the same
instrument and any of the parties hereto may execute this Agreement by signing any such
counterpart.
36. SECTION HEADINGS
Section headings have been inserted in this Agreement as a matter of convenience of
reference only, and it is agreed that such section headings are not a part of this
Agreement and will not be used in the interpretation of any provision of this Agreement.
37. PUBLIC ENTITY CRIME INFORMATION STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a
conviction for a public entity crime may not submit a bid on a contract to provide any
goods or services to a public entity, may not submit a bid on a contract with a public
entity for the construction or repair of a public building or public work, may not submit
bids on leases of real property to a public entity, may not be awarded or perform work as
a Construction Manager, supplier, subcontractor, or consultant under a contract with any
public entity, and may not transact business with any public entity in excess of the
threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36
months from the date of being placed on the convicted vendor list."
38. MUTUAL REVIEW
Page 14 of 15
Chemical Water Treatment and Testing Services
This agreement has been carefully reviewed by Contractor and the County therefore; this
agreement is not to be construed against either party on the basis of authorship.
39. INCORPORATION OF BID DOCUMENTS
The terms and conditions of the bid documents are incorporated by reference in this
contract agreement.
40. ANNUAL APPROPRIATION
The County's performance and obligation to pay under this agreement is contingent upon
an annual appropriation by the Board of County Commissioners. In the event that the
County funds on which this Agreement is dependent are withdrawn, this Agreement is
terminated and the County has no further obligation under the terms of this Agreement to
the Contractor beyond that already incurred by the termination date.
IN WITNESS WHEREOF, COUNTY and CONTRACTOR hereto have executed this
Agreement on the day and date first written above in four (4) counterparts, each of which shall,
without proof or accounting for the other counterparts, be deemed an original contract.
it iff, - 7 ,1 '1 BOARD OF COUNTY COMMISSIONERS
`�' H EAVILIN, CLERK OF MO ROE COUNTY, FLORIDA
/ i --ell5e4-^...
_..-_ 14
\ ; _= -. • putt' 'Irk Mayo
rate: 9 / /(0IIS Date: 9i1d iS
Witnesses for CONTRACTOR: 1„,/(--.AA
0:44.6)a2 ?1 Signature of person authorized to
g legally Si n ature le all bind Co oration
Date: 2 f t `f i S'
g( MI 5 Iti-1, ,:A- 0 6 irktoj
Date Print Name
,503Zt Address: 1 1 i 0 NO 17 L S-}-
Signature
�� l�l 15 � � le a � � ct. 33 b1 S
Date Telephone Number
■, ROE C i T Y 8- -EY
PP'Ot/' r. 'O F =‘NI
Page 15
t
P -D ,O j 707,:..^�'7 n,
tY
Date 7._(.i IS
MONROE COUNTY PUBLIC WORKS AND ENGINEERING
`....L"
PROPOSAL TO: Monroe County Public Works
10600 Aviation Blvd.
Marathon, FL 33050
PROPOSAL FROM: Advance Water Technology, Corp
7880 NW 176 St
Hialeah, FL 33015
The undersigned, having carefully examined the Work and reference Drawings,
Specifications, Proposal, and Addenda thereto and other Contract Documents for the
services of:
CHEMICAL WATER TREATMENT AND TESTING SERVICES
and having carefully examined the site where the Work is to be performed, having
become familiar with all local conditions including labor affecting the cost thereof, and
having familiarized himself with material availability, Federal, State, and Local laws,
ordinances, rules and regulations affecting performance of the Work, does hereby
propose to furnish all labor, technicians mechanics, superintendents, tools, material,
equipment, chemicals, transportation services, and all incidentals necessary to perform
and complete said Work and work incidental hereto, in a workman -like manner, in
conformance with said Specifications, and other Contract Documents including Addenda
issued thereto.
The undersigned further certifies that he has personally inspected the actual location of
where the Work is to be performed, together with the local sources of supply and that he
understands the conditions under which the Work is to be performed. The proposer shall
assume the risk of all costs and delays arising from the existence of any subsurface or
other latent physical condition, which could be reasonably anticipated by reference to
documentary information provided and made available, and from inspection and
examination of the site.
The undersigned agrees to commence performance of this Project within ten (10)
calendar days after the date of issuance to the undersigned by Owner of the Notice to
Proceed. Once commenced, undersigned shall diligently continue performance until
completion of the contract term.
The Base Proposal shall be furnished below in words and numbers. If there is an inconsistency
between the two the Proposal in words shall control. This proposal is valid for 120 calendar days from
submittal due date.
Murray E Nelson Government Center
102050 Overseas Highway, Key Largo, FL $ 175.00 per Month
Page 1 of 2
Monroe County Medical Examiner — Crawl Key
56639 Overseas Highway, Marathon, FL $ 40.00 per Month
Harvey Government Center
1200 Truman Avenue, Key West, FL $ 40.00 per Month
Juvenile Justice Building
5505 College Road, Key West, FL $ 40.00 per Month
Monroe County Sheriff's Office Administration Building
5525 College Road, Key West, FL $ 175.00 per Month
Monroe County Detention Center on Stock Island
5501 College Road, Key West, FL $ 550.00 per Month
Jackson Square Complex
500 Whitehead St., Key West $ 275.00 per Month
Key West Library
700 Fleming Street, Key West, FL $ 33.00 per Month
Gato Building
1100 Simonton Street, Key West, FL $ 33.00 per Month
Total Proposal per Month $ 1,361.00
Total Proposal per Year $ 16,332.00
One Thousand Three Hundred Sixty One Dollars.
(Total Base Proposal words)
$ 1,361.00
(Total Base Proposal — numbers)
Additional Services:
1. Labor — normal working hours of 8:00 a.m. to 5:00 p.m. Monday through Friday, excluding
holidays:
PROPOSAL PRICE: $ 30.00 PER HOUR, TECHNICIAN
PROPOSAL PRICE: $ 40.00 PER HOUR, TECHNICIAN PLUS HELPER
2. Labor — overtime rate for hours other than normal working hours stated above, including holidays:
PROPOSAL PRICE: $ 40.00 PER HOUR, TECHNICIAN
PROPOSAL PRICE: $ 50.00 PER HOUR, TECHNICIAN PLUS HELPER
3. Materials — Supplies and Replacement Parts:
PROPOSAL PRICE: Manufacturer's Invoice plus 25 %
Mailing Address: 7880 NW 176 St
Phone Number: (305)828 -5616
70 • ��1�
Date: 8/4/15 Signed: z Title: Secretary
(Name)
Page 2 of 2
NON - COLLUSION AFFIDAVIT
Maria Morales of the city of Hialeah according to law on my
oath, and wider penalty of perjury, depose and say that
1. I am Secretary
of the firm of Advance Water Technology, Corp
the bidder making the Proposal for the project described in the Notice for Calling for bids for
Water Treatment Services
and that I executed the said proposal with full authority t do so:
2. the prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for
the purpose of restricting competition, as to, any matter relating to such prices with any other bidder or with any
competitor,
3. unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by
the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other
bidder or to any competitor, and
4. no attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit,
or not to submit, a bid for the purpose of restricting competition;
5. the statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon
the truth of the statements contained in this affidavit in awarding contracts for said project.
— �
7/ a „ VL l 8/4/15
(Signature of Bidder) (Date)
STATE OF: Florida
COUNTY OF: Miami - Dae
PERSONALLY APPEARED BEFORE ME, the undersigned authority, 1Y1 Ot t ui 0.4 -��7 who, after first
beingtsw me, (name of individual signing) affixed his/her signature in the space provided above on this 4 day of _
(( ,,f� 20 1 5 .
S C 1 -411-z) (1 .. t.r vim )
NOTAPUBLIC Y c7
My Commission Expires: aftiiii 3 0 , 0 / L
OOAL113WSW
tf1Yry Pa • 11 O HMO
Cat lee i IN Mtn
. OInM/ *NW Arai.
LOBBYING AND CONFLICT OF INTEREST FORM
SWORN STATEMENT UNDER ORDINANCE NO. 10 -1990
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
Advance Water Technology, Corp. warrants that he/it has not employed, retained or otherwise had act on
his/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 10 -1990 or any County
officer or employee in violation of Section 3 of Ordinance No. 10 -1990. For breach or violation of this provision the
County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the
contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration
paid to the former County officer or employee.
(Signature)
Date: IA 1, r
STATE OF not..
COUNTY OF Nt; N, ; - 0 t
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
qln a V ,n cits who, after first being sworn by me, affixed his/her signature (name of
individual signing) in the space provided above on this gig day of Ott., , 20 l S .
A./
NOTARY PUB C
My commission expires: 3 J 2 0
OMB - MCP FORM #4 ri * Calm " t i Va le
MOW Mw.
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
Advance Water Technology, Corp
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such
prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace,
any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon
employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement
specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual
services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or
plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United
States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is
available in the employee's community, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section.
As the person authorized to sign the statement, 1 certify that this firm complies fully with the above requirements.
— 71./( 3 4-- 1A-A,
idder's Signature
8/7/15
Date
OMB - MCP#5
Bidder's/Respondent's Insurance and Indemnification Statement
Insurance Requirement Required Limits
Worker's Compensation Statutory Limits
Employer's Liability $500,000 /$500,000/$500,000
General Liability $500,000 Combined Single Limit or
$300,000/$500,000 /$200,000
Vehicle Liability $300,000 Combined Single Limit or
$200,000/$300,000 /$200,000
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MUST BE NAMED AS ADDITIONAL
INSURED ON ALL POLICIES EXCEPT WORKER'S COMPENSATION.
INDEMNIFICATION AND HOLD HARMLESS FOR CONTRACTOR
Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, Contractor shall defend,
indemnify and hold the COUNTY and the COUNTY's elected and appointed officers and employees harmless from and
against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or
other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and
(iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by
reason of, or in connection with, (A) any activity of CONTRACTOR or any of its employees, agents, sub - contractors or
other invitees during the term of this AGREEMENT, (B) the negligence or willful misconduct of CONTRACTOR or any
of its employees, agents, sub - contractors or other invitees, or (C) CONTRACTOR's default in respect of any of the
obligations that it undertakes under the terms of this AGREEMENT, except to the extent the claims, actions, causes of
action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or negligent acts in part
or omissions of the COUNTY or any of its employees, agents, contractors or invitees (other than
CONTRACTOR). Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to
events or circumstances that occur during the term of this AGREEMENT, this section will survive the expiration of the
term of this AGREEMENT or any earlier termination of this AGREEMENT.
In the event that the service is delayed or suspended as a result of the Contractor's failure to purchase or maintain the
required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such
delay.
The first ten dollars ($10.00) of remuneration paid to the Contractor is consideration for the indemnification provided for
above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere
within this agreement.
This indemnification shall survive the expiration or earlier termination of the Contract.
BIDDER'S /RESPONDENT'S STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the
requirements.
Maria Morales — 7/IA - Z./1...
Bidder/Respondent Signature
INSURANCE AGENT'S STATEMENT
I have reviewed the above requirements with the responder named below. The following deductibles apply to the
corresponding policy.
POLICY DEDUCTIBLES
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Liability policies are v Occurrence Claims Made
Insurance Agency Signature
Print Name: je i%, l /itZ�
l(�. /' CERTIFICATE OF LIABILITY INSURANCE DATEBANCO
8/14/2011
5
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFRRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
B ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
B IPORTANT: 1 the ces IfIcate holder Is an ADDITIONAL INSURED, the PWkypes) must be endorsed. E SUBROGATION 13 WANED, subject to
the terms and conditions of the palm certain P may require an endorsement. A statement on this certificate does not confer tights to the
cestilkele holder In Neu of such endorsentemqs).
PRODucER WMACT
NAME:
Diaz Insurance Agency w1oNE FAx
PO Box 127 WC. Gum 2397656571 I W =*2397655214
ADDRESS:
Fort Myers Beach, FL 33931 •Ian Ammo COVERAGE MCA
ftwmERA RIVER INS CO 13685
/ INSURER e : PROGRESSIVE INSURANCE COMPANY 10193
•
ADVANCE WATER TECHNOLOGY INSURER C : EVANSTON INSURANCE COMPANY 35378
7880 NW 176 ST IUD:
HIALEAH, FL 33015 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF MIY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS.
ens EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LI$ATS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.
r�vp��
us
TYPE OF INSURANCE a q Ynre POLICY NUMBER SIIONDOIYYYY) (MMIOD/AY] LIMITS
x COINEEIGN. EINEM MILEY EACH OCCURRENCE $ 1,000,000
J CLAIMS MADE OCCUR
PRBAISES (Es eminence) E 50, 000
— MED EXP (Any one person) $ 5 , 000
A —
X 000601141 11/26/14 11/26/15 PERSONAL AM( $ 1,000.000
oeNl AoG ATE U WT APPLES PER GENERAL Acl0REaATE s 2.000,000
R POUCY 0 ja ❑ Lac PRODUCTS - conW"OP Asa $ 2.000.000
OTI6t 5
AUTOMOBILE uAewn ISa sra;L>: �rwr $ 1,000,000
B _ . X. Auras X 05720206 -8 4/11/15 4/11/16
BODILY
INJURY $ Amos
NON-OWNED PROPERTY .B. H AUTOS AUTOS (Pe""`d°"OOAMAOE S
$
UMBREU.A UAS OCCUR EACH OCCURRENCE $ 1,000,000
C X EXCESS uAe CLAIMS -MADE XOVA761814 11/26/14 11/26/15 AGGREGATE s 1,000,000
DED I I RETENTION s $ —'
VIONOTRS COMPENSATION
AND EMPLOYERS' t1ABI IY Y , M I ME 1 184
NW PROPRIETORIPARDEIR/EXECUOVE
lll..����ll1l
OINCO as t EXCLUDED? MIA ' 'P: 0VED =Y • IS . NAGEMEN f EL EACH ACCIDENT $ _
ING _}es, e � s e� InIn ndm B di _.0 6 EL DISEASE - EA EMPLOYEES
DEZ110N OF OPERATIONS below EL DISEASE - POLICY LIMIT $
DATE $' 1)7
WAIVER N/A YES
DEBCRPnoN OF OPERATIONS I LOCATIONS! VEHICLES (ACORO 101. Additional Remade Schedule. may be attached d more spaces required)
MONROE COUNTY BOARD OF COUNTY CONMrMISSIONERS IS NAMED
ADDITIONAL INSURED ON ALL GENERAL LIABILITY AND AUTOMOBILE
POLICIES.
CERTIFICATE HOLDER CANCELLATION
Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEtJVERED IN
Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
4 :11 .7 11"1111111111 61.;
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0 1 986 -201 3 ACORD CORPORATION. AN rights reserved.
ACORD25(2013I04) The ACORD name and logo are registered marks of ACORD
�..NN ADVAN -1 OP ID: DK
'4 `, . ° R L CERTIFICATE OF LIABILITY INSURANCE ° " 08 ,1 " "'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Customers Rule Ins. Agency PHONE FAX
1005 NE 125th St., #202 IC. P10 Ex":
(A/C. No):
North Miami, FL 33161
Lynn Remon ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC *
INSURER A : *Brtdgefield Employers Ins Co 10701
INSURED Advance Water Technology, Corp INSURER B:
Maria Morales
7880 NW 176 St INSURER C :
Hialeah, FL 33015 INSURER D :
INSURER E :
_ INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN SR TYPE OF INSURANCE y SR EXP
NM POLICY NUMBER (UMMIDOIYYYY) IMINDWYY
R IN YY) UMITS
GENERAL LIABIUTY EACH OCCURRENCE $
DAMAGETO
COMMERCIAL GENERAL LIABILITY PREMISES (Ea RENTED $
CLAIMS -MADE OCCUR MED EXP (Any one person) $
PERSONAL 8 ADV INJURY _ $
}�
GENERAL AGGREGATE $
GE 'L AGGREGATE LIMIT APPLIES PER: ∎1` • ' 'i ED = 1� K �' GEMENT PRODUCTS - COMP/OP AGG $
POLICY PRO- ' - I $
JFCT LOC
BY
AUTOMOBILE UABIUTY I /� 41'10 COMBINED SINGLE LIMIT 1( (Ea acddent) $
ANY AUTO DATE C7 BODILY INJURY (Per person) $
ALL OWNED SCHEDULED WAIVER N/A • YES_ BODILY INJURY (Per accident) $
AUTOS — A NO O N- -OWNED PROPERTY DAMAGE $
HIRED AUTOS _ AUTOS !PER ACCIDENT)
$
UMBRELLA UAB _ OCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS -MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILnY X TORY LIMITS (D ER
I.
ANY PROPRIETOR/PARTNER/EXECUTIVE 1 N NIA 0196 -19605 02/24/2015 02/24/2018 E.L. EACH ACCIDENT $ 1,000,000 N OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space is rc
Water treatment consultants .
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
My ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton St
Key West, FL 33040 AUTHORIZED REPRESENTATIVE
dyx-'n `f)7. by --
CO 1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD